OVARIAN CANCER

Ovarian cancer _
(1) due to early diagnosis of ovarian cancer early without typical symptoms and signs, they asked in detail about history and serious medical and gynecological examinations are extremely important. Suspicious circumstances of the event should help of modern imaging examination and generalized tumor marker of early detection screening. The so-called suspicious circumstances may be more long ovarian dysfunction, long unexplained gastrointestinal or urinary tract symptoms, or young girls increased postmenopausal ovarian hit ovarian, and the original suspected ovarian tumor rapidly increasing fixed, stiffen, and so on.

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Gynecologic refractory ovarian cancer is the disease, early detection difficult, and the poor prognosis of patients with advanced, easy to relapse after, still lack effective methods of treatment, and how early diagnosis of ovarian cancer and how to reduce the recurrence of ovarian cancer is the treatment of ovarian cancer difficult.

One difficulty: how early diagnosis of ovarian cancer

Since early ovarian cancer often without typical symptoms and signs, it can not easily be found early, Annex mass is the correct address prevention and early detection of ovarian cancer important measures.

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Ovarian cancer prevention focuses on the early detection of tumors, benign or malignant regardless of the early patients, often without obvious symptoms, benign tumors may have malignant transformation should be undertaken regularly Cape couple. For early detection of ovarian cancer, the following points should be noted:
(1) All solid ovarian mass, or more than 6 cm cyst, shall immediately proceed to surgical resection.
(2) menarche before and postmenopausal women, ovarian cystic tumor, the tumor should be considered. Women of childbearing age in a small annex cystic mass of two narrow, not to consider the tumor, increasing the period of operation at any time.
(3) pelvic inflammatory masses, especially tuberculosis or suspected pelvic endometriosis treatment of tumors block invalid, can not be ruled out cancer surgery should be explored.
(4) found that postmenopausal endometrial hyperplasia or adenoma endometrial adenocarcinoma, it should be noted whether ovarian tumors, and timely treatment.
(5) aged 45 and above, subject to the result of uterine diseases hysterectomy, the proposal for bilateral Annex.
Ovarian cancer causes complex, but in terms of prevention, at least for reference to the following points:
Not forgetting peacetime exercise: The United States aspirin-chee at the University of Pennsylvania School of Medicine study, regular exercise women, life with the opportunity to nest cancer than inactive women below 27%.
Less fat diet: normal diet contains too much saturated fat women suffering from ovarian cancer more easily. Most of the American women, daily intake of saturated fat is about 30 grams, can be a daily diet of 10 grams of fat lowering the volume, the probability of ovarian cancer can be reduced by 20%. If you are with the probability of ovarian cancer, like most people around 1% reduction of dietary fat, the probability would fall to 0.8%. Although we still do not know why there is this advantage, but a balanced diet, eat more vegetables, fruits, but for the health of the sound is definitely useful. Moreover, the reduction of dietary fat and fiber intake a lot, but will also reduce the probability of developing heart disease (the major cause of death of women), and reduce the incidence of colon cancer. Appropriate calcium benefits, according to the study: women's diets, the highest calcium diet compared to the lowest calcium intake, the opportunity to be ovarian cancer greatly reduced, high calcium for the prevention of the occurrence of ovarian cancer may have health effects.
Anti-Tiaojing hormone: a survey revealed that long-term use of birth-not pregnant women to be called LMP (low malignant potential) tumor risk will increase. Women's menstrual early (before age 12) or late menopause or a birth (or the first birth after the age of 30) in ovarian cancer risk higher. It seems that the probability of ovarian cancer in women and one in the total number of menstruation. The number of menstrual more in the risk of ovarian cancer is also higher. A nurse will also reduce breast cancer and ovarian cancer risk, because normally babies during menopause. Use of contraceptives will also reduce the risk of ovarian cancer effect.

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A benign ovarian tumors young patients affected Annex tumor resection or stripped of. If both bilateral ovarian tumors, should fight to retain part of normal ovarian tissue. Before post-clearance as abdominal specimens suspected malignant sent frozen biopsy. Patients before and after menopause to be hysterectomy and bilateral resection of the Annex to activities.

2, malignant ovarian tumor treatment to the main, supplemented by chemotherapy, and radiotherapy.

(1) to general surgery for hysterectomy, bilateral Annex and the omentum resection. Patients with advanced cancer should be possible for the transfer to that reduction of tumor cells. As for retroperitoneal lymph node removal of the therapeutic value can not be determined.

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1. The only benign ovarian tumor treatment is surgical excision. Cyst less than 5 ~ 6 cm in diameter, observed 3 to 6 months, continue to increase, or tumor is smaller than 5 cm in diameter, but for solid tumors, surgical resection should be.

2. Children, pregnant young patients with no more side to side or ovariectomy Annex resection. As for the bilateral benign ovarian tumors, ovarian tumors to be stripped of, as far as possible to retain some ovarian tissue to maintain menstruation and reproductive functions. Right after menopause, and bilateral ovarian tumors while uterine bilateral resection of the annex, was advocated in recent years should be retained normal ovarian tissue, and maintain normal physiological functions of women.

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[Summary]
Ovarian cancer is a common cancer of female genital mutilation one of the incidence of cervical cancer and after cancer of the uterus, which ranked third. But ovarian cancer death, accounts of the first gynecologic tumors, right pose a serious threat to women's lives. Because ovarian embryonic development, organization anatomy and endocrine function more complicated, it may be suffering from benign tumors or malignant. Because of early ovarian cancer in asymptomatic, and the identification of its type benign and malignant very difficult, ovarian carcinoma laparotomy in ovarian tumor confined to only 30%, most have spread to the uterus, bilateral annex, the omentum and pelvic organ <BR>, without ovarian cancer On the diagnosis and treatment really is a big problem. Over the years experts on the pathological form of ovarian cancer, the development of clinical and treatment programs for many of accumulated a lot of experience, so far, statistics on domestic and foreign clinical data, the five-year survival rate of only 25% to 30%.

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1. Body check: special attention to the breast and regional lymph nodes, stomach bulging, mass, ascites and liver, spleen, rectal examination.

2. Pelvic examination: double and triple those of the uterus and up inspection annex, annex to the attention of the mass location other side, size, shape, border, texture, surface condition, activities, tenderness and nodules Waterloo rectum and uterus.
Emphasis should be placed on the pelvic mass identification, the following should be noted malignant:
* Solid
* Bilateral
* Tumor irregular surface nodules
* Adhesion fixed, not activities
* Ascites, especially hemorrhagic ascites
* Waterloo nodules uterine rectal
Rapid Growth *
* Quality of dioxin, have advanced omental mass, hepatosplenomegaly and gastrointestinal obstruction performance

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Since early ovarian cancer often without typical symptoms and signs, it can not easily be found early, Annex mass is the correct address prevention and early detection of ovarian cancer important measures. According to reports in the United States about 5% to 10% of women due to suspected biological and experience new ovarian surgery, 13% to 21% of ovarian tumors habit. Therefore, the situation is the following laparoscopic suppository or laparotomy indications:
Increased ovarian before puberty.
Annex solid mass.
Annex-hsiang of mass> 5 cm in diameter, two of the menstrual cycle <BR> not reduce or increase.
Annex mass in pregnancy after 16 weeks is not narrowing.
Three years after menopause, ovarian and still Kok.
In clinical practice, the annex attached great importance to the masses is still important, the most basic and simple early detection and prevention of ovarian tumors of habit, doctors have experience with serious pelvic examination and B ultrasonic imaging of tumors found in the annex (especially greater than 5 cm in diameter the mass-hsiang, solid mass, pre-pubescent and post-menopausal palpable ovarian etc.) follow-up, even laparoscopy and laparotomy seized, often capture the early cases, good treatment. Therefore, not only the census of women on cervical cancer, ovarian cancer is necessary.

Tags: annex, cancer, cases, clinical, diagnosis, early, eat, ert, examination, increased, mass, ovarian, pelvic, reduce, surgery, symptoms, treatment, tumor, tumors, women

Ovarian cancer is very common, all ages can ill, but 20 to 50 years old the most. Since early ovarian cancer patients have few symptoms, so early diagnosis difficult, attendance at the 70% already advanced, little access to early treatment, five-year survival rate always hovering in the 20 ~ 30%, is the most serious threat to women's lives malignant one.

One, classification

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